Chan, Kenny

Chan, Kenny is an individual health care provider with primary practice located at 125 Fairfield Way Ste 380 , Bloomingdale IL 60108-3701. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Chan, Kenny can be contacted via phone (815) 295-5470.

Contact Information

Primary practice address
125 Fairfield Way Ste 380 Bloomingdale IL 60108-3701
Phone: (815) 295-5470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.016192 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178016192 Illinois

Profile Details

NPI number 1174121495
LBN Legal business name Chan, Kenny
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2020
Last updated Dec 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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